Noninvasive continuous monitor of arterial blood pressure waveform

• US 4,873,987 A
• Filed: 06/30/1988
• Issued: 10/17/1989
• Est. Priority Date: 06/30/1988
• Status: Expired due to Fees

• Current Assignee: Anthony K. Ivankovich, Ljubomir Djordjevich
• Original Assignee: Anthony K. Ivankovich, Ljubomir Djordjevich
• Inventors: Djordjevich, Ljubomir, Ivankovich, Anthony K.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US07/213,358
• Time in Patent Office: 474 Days
• Field of Search: 128/672, 128/677, 128/680-683, 128/691, 128/693, 128/713, 128/734, 128/670-671
• US Class Current: 600/485
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/0535 Impedance plethysmography for measuring blood flow A61B5/0295
• CPC Class Codes: A61B 5/7257 using Fourier transforms

Abstract

A method, and a device utilizing that method, for continuously, noninvasively measuring a patient'"'"'s blood pressure. Discrete values of systolic and diastolic blood pressure are noninvasively determined and input to a microprocessor. A continuous non-pressure waveform signal is generated through noninvasive monitoring of the patient and is also input to the microprocessor. The microprocessor calibrates the continuous non-pressure waveform signal using the discrete blood pressure values, thereby generating a continuous waveform signal of blood pressure.

Claims

1. A method of continuously, noninvasively measuring blood pressure, said method comprising the steps of:

noninvasively determining at least discrete systolic and diastolic blood pressure values;

simultaneously, noninvasively monitoring the patient with a waveform signal means to generate a sample continuous non-pressure waveform signal;

inputting said discrete systolic and diastolic blood pressure values and said sample continuous non-pressure waveform signal to a microprocessor;

calculating at least systolic and diastolic points for said sample continuous non-pressure waveform signal;

calibrating said systolic and diastolic points with said systolic and diastolic blood pressure values, respectively, and storing said calibrated information;

continuously, noninvasively monitoring said patient with said waveform signal means to generate a continuous non-pressure waveform signal;

using said calibrated information to transform said continuous non-pressure waveform signal into a continuous blood pressure waveform.

2. The method of claim 1 wherein said noninvasive discrete determination of at least systolic and diastolic blood pressure values is made using one of the following:

a pressure cuff, sphygmomanometer, or Korotkoff sound detector.

3. The method of claim 1 wherein said waveform signal means measures electrical conductance and generates a conductance waveform signal.

4. The method of claim 3 where in said noninvasive discrete determination of at least systolic and diastolic blood pressure values is made by analyzing the power spectrum of the conductance signal.

5. The method of claim 4 wherein the power spectrum is analyzed using a fast Fourier transform technique.

6. The method of claim 4 wherein the waveform signal generated is selected from the following:

Z-wave or C-wave.

7. The method of claim 3 wherein said noninvasive discrete determination of at least systolic and diastolic blood pressure values is made by gradually deflating a pressure cuff and simultaneously detecting changes in the conductance waveform signal.

8. The method of claim 1 further comprising the step of determining the pulse rate by counting waves in said continuous non-pressure waveform signal.

9. The method of claim 1 wherein said waveform signal means measures electrical impedance.

10. The method of claim 1 wherein said waveform signal means ultrasonically monitors arterial wall movement.

11. The method of claim 1 wherein said waveform signal means performs X-ray imaging of arterial wall movement.

12. The method of claim 1 wherein said waveform signal means performs microwave imaging.

13. The method of claim 1 wherein said waveform signal means performs NMR imaging.

14. The method of claim 1 wherein said waveform signal means makes colorimetric measurements.

20. The device of claim 9 wherein the microprocessing means analyzes the power spectrum is using a fast Fourier transform technique.

15. A device for continuously, noninvasively measuring blood pressure, said device comprising:

a pressure signal means for noninvasively determining at least discrete systolic and diastolic blood pressure values for a patient;

a waveform signal means for noninvasively monitoring said patient to generate a continuous non-pressure waveform signal; and

microprocessing means for receiving at least said discrete systolic and diastolic blood pressure values and said continuous non-pressure waveform signal as inputs, said continuous non-pressure waveform signal being calibrated using at least said discrete systolic and diastolic blood pressure values to generate a continuous waveform signal of blood pressure.

16. The device of claim 15 wherein said pressure signal means is one of the following:

a pressure cuff, sphygmomanometer, or Korotkoff sound detector.

17. The device of claim 15 wherein said waveform signal means measures electrical conductance and generates a conductance waveform signal.

18. The device of claim 17 wherein said conductance waveform signal comprises one of the following:

C-wave or Z-wave.

19. The device of claim 17 wherein said pressure signal means comprises at least a portion of the microprocessing means which analyzes the power spectrum of the conductance waveform signal.

21. The device of claim 17 wherein said pressure signal means comprises a pressure cuff and at least a portion of the microprocessing means which detects changes in the conductance waveform signal as the pressure cuff is gradually deflated.

22. The device of claim 15 wherein said waveform signal means measures electrical impedance.

23. The device of claim 15 wherein said waveform signal means ultrasonically monitors arterial wall movement.

24. The device of claim 15 wherein said waveform signal means performs X-ray imaging of arterial wall movement.

25. The device of claim 15 wherein said waveform signal means performs microwave imaging.

26. The device of claim 15 wherein said waveform signal means performs NMR imaging.

27. The device of claim 15 wherein said waveform signal means makes colorimetric measurements.

28. The device of claim 15 further including means for determining pulse rate by counting waves in said continuous non-pressure waveform signal.